AB
AGNES BERGMAN
BA131652 · 05/16/1934 · Updated 06/05/2026
Active
Basic Information
| Patient Record Number: | BA131652 |
| Date of Birth: | 05/16/1934 |
| Age: | 92 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 06/05/2026 06:28 PM |
Contact Information
| Mobile Phone: | (773) 504-3858 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Jinu Joss |
Address Information
4550 N Clarendon Ave
Apt. 2606N
Chicago, IL 60640 Coordinates: 41.96498160000001, -87.6502635
Apt. 2606N
Chicago, IL 60640 Coordinates: 41.96498160000001, -87.6502635
Home Health Nurse
Ideal Care Home Health
| Phone: | 8477490833 |
| Fax: | N/A |
| Status: | Active |
Medicare Part B Deductible
Current Year (2026)
| Total Deductible: | $283.00 |
| Remaining: | $283.00 |
Annual Wellness Visit
Last wellness visit: 05/08/2027
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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Patient Documents
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Total Claims-
Total Paid-
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Payment RateRemittance Claims
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